CAPITAL REGION MEDICAL CENTER (NPI# 1023081767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023081767 |
| Entity Type | Organization |
| Organization Name | CAPITAL REGION MEDICAL CENTER |
| Other Organization Name | CAPITAL REGION CORPORATE HEALTH CLINIC |
| Practice Address |
1500 Southwest Blvd Ste C Jefferson City MO 65109 |
| Practice Telephone | 5736325786 |
| Practice Fax Number | 5736325833 |
| Mailing Telephone | 5736325786 |
| Mailing Fax Number | 5736325833 |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JAMES R MCMILLAN (VP FINANCE) |
| Authorized Official Telephone | 5736325100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
4199 | MO | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Capital Region Corporate Health Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821228388 | Capital Region Medical Center | Internal Medicine | 999 Diamond Rdg, Suite 201, Jefferson City, MO 65109-6920 | 2009-07-19 |
| 1679701296 | Capital Region Medical Center | Family Medicine | 3308 W Edgewood, Suite B, Jefferson City, MO 65109 | 2009-06-23 |
| 1285810093 | Capital Region Medical Center | Family Medicine | 309 N. Main Street, Chamois, MO 65024 | 2008-01-11 |
| 1215057542 | Capital Region Medical Center | Physical Therapist | 1015 Moreau Dr, Jefferson City, MO 65101-3518 | 2007-03-30 |
| 1629031018 | Capital Region Medical Center | Clinic/Center | 1014 Madison St, Jefferson City, MO 65102-3458 | 2006-04-08 |
| 1134188741 | Capital Region Medical Center | Clinic/Center | 3536 Kuhne Road, Owensville, MO 65066 | 2006-03-22 |
| 1215906433 | Capital Region Medical Center | Family Medicine | 2nd Street and Oak, Stover, MO 65078 | 2006-03-17 |
| 1710959598 | Capital Region Medical Center | Family Medicine | 180 Northstar St, Holts Summit, MO 65043-1123 | 2006-02-06 |
| 1730151143 | Capital Region Medical Center | Family Medicine | 704 Buchanan Hwy Sw, California, MO 65018 | 2006-02-02 |
| 1285606392 | Capital Region Medical Center | Nurse Practitioner | 103 Business Hwy 54 North, Eldon, MO 65026 | 2006-02-02 |
| Street Address |
1500 SOUTHWEST BLVD STE C |
| City | JEFFERSON CITY |
| State | MO |
| Zip Code | 65109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194722371 | Eric Caywood | Family Medicine | 1500 Southwest Blvd, Suite B, Jefferson City, MO 65109-2432 | 2005-07-04 |
| 1811338767 | Amy Harrell | Nurse Practitioner | 1500 Southwest Blvd, Suite B, Jefferson City, MO 65109-2472 | 2013-07-08 |
| 1942358866 | Capital Region Medical Center | Family Medicine | 1500 Southwest Blvd, Suite B, Jefferson City, MO 65109-2472 | 2007-01-08 |
| 1124091285 | Capital Region Medical Center | Nurse Practitioner | 1500 Southwest Blvd, Ste D, Jefferson City, MO 65109 | 2006-02-09 |
| 1558334524 | Osvaldo Acosta-rodriguez | Physical Medicine & Rehabilitation | 1500 Southwest Blvd, Ste C, Jefferson City, MO 65109 | 2006-02-09 |
| 1568435881 | Lynn Marty | Nurse Practitioner | 1500 Southwest Blvd, Suite D, Jefferson City, MO 65109 | 2006-02-08 |
| 1639141195 | Robert W Power | Family Medicine | 1500 Southwest Blvd, Suite D, Jefferson City, MO 65109 | 2006-02-07 |
| 1093712275 | Dustin Warbritton | Family Medicine | 1500 Southwest Blvd, Suite B, Jefferson City, MO 65109-2432 | 2005-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518449321 | Kara D Roderick | Physical Therapist | 1115 Fairgrounds Road, Jefferson City, MO 65109 | 2018-08-29 |
| 1851871214 | Integrative Medicine, LLC | Internal Medicine | 999 Diamond Rdg Ste 201, Jefferson City, MO 65109 | 2018-08-15 |
| 1972020394 | Rehab Care Group East, LLC | Clinic/Center | Primrose Retirement Community Jefferson City, 1214 Freedom Boulevard, Jefferson City, MO 65109 | 2017-08-25 |
| 1124558986 | Nicholas Rehagen | Specialist/Technologist | 304 Timber Creek Rd, Jefferson City, MO 65109 | 2017-06-14 |
| 1982004214 | Kara Elizabeth Wilbers | Occupational Therapist | 1105 Fairgrounds Rd, Jefferson City, MO 65109 | 2014-08-22 |
| 1942510334 | Loftin Eyecare, LLC | Optometrist | 724 West Stadium Boulevard, # 029 Walmart Vision Center, Jefferson City, MO 65109 | 2010-10-19 |
| 1306077250 | Paula Hancock Johnson | Social Worker | 1303 Edgewood Dr Ste 5, Jefferson City, MO 65109 | 2009-07-27 |
| 1679701296 | Capital Region Medical Center | Family Medicine | 3308 W Edgewood, Suite B, Jefferson City, MO 65109 | 2009-06-23 |
| 1972730141 | Nancy S Stork | Counselor | 204 Metro, Suite B, Jefferson City, MO 65109 | 2009-06-16 |
| 1356522916 | Walk Easy LLC | Durable Medical Equipment & Medical Supplies | 4810 Rainbow Dr., Jefferson City, MO 65109 | 2007-11-23 |
| Find all providers in zip 65109 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629031018 | Capital Region Medical Center | Clinic/Center | 1014 Madison St, Jefferson City, MO 65102-3458 | 2006-04-08 |
| 1447857370 | Ssm Regional Health Services | Clinic/Center | 2505 Mission Dr, Jefferson City, MO 65109-9508 | 2020-10-05 |
| 1083105134 | Ssm Regional Health Services | Clinic/Center | 2505 Mission Dr Ste 130, Jefferson City, MO 65109 | 2018-05-24 |
| 1336555275 | Ssm Regional Health Services | Clinic/Center | 2505 Mission Dr, Suite 200, Jefferson City, MO 65109-9508 | 2014-07-10 |
| 1457763633 | Jefferson City Medical Group, PC | Clinic/Center | 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 | 2014-05-22 |
| 1003096306 | Spine Midwest, Inc | Clinic/Center | 200 Saint Marys Medical Plz, Suite 301, Jefferson City, MO 65101-1604 | 2007-11-05 |
| 1336189398 | Jefferson City Medical Group, P.C. | Clinic/Center | 1241 W Stadium Blvd, First Floor, Suite 1100, Jefferson City, MO 65109 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023629458 | Palm Valley Health LLC | Clinic/Center | 1095 Nooning Tree Dr, Chesterfield, MO 63017-2468 | 2020-08-10 |
| 1477175594 | Confident American English, LLC | Clinic/Center | 1190 Jefferson St Ste 103a, Washington, MO 63090-4443 | 2020-05-12 |
| 1619513215 | Southeast Missouri Health Network | Clinic/Center | 835 W Murray Ln, Sikeston, MO 63801-4056 | 2019-11-19 |
| 1275014953 | Arch Pediatrics LLC | Clinic/Center | 3844 S Lindbergh Blvd Ste 216, Saint Louis, MO 63127-1369 | 2018-08-22 |
| 1174015515 | Washington University Physicians In Illinois, Inc | Clinic/Center | 4511 Forest Park Ave, Saint Louis, MO 63108-2138 | 2018-06-01 |
| 1164921300 | Texas County Memorial Hospital | Clinic/Center | 1333 S Sam Houston Blvd Ste A, Houston, MO 65483 | 2018-02-02 |
| 1053822650 | Edge Medical Services Inc. | Clinic/Center | 105 W 34th St Apt 2, Kansas City, MO 64111-1677 | 2017-10-23 |
| 1932618394 | United Physicians Group, LLC | Clinic/Center | 14825 N Outer 40 Rd Ste 365, Chesterfield, MO 63017-2152 | 2017-09-28 |
| 1073022000 | Fairview Heights Medical Group Sc | Clinic/Center | 670 Mason Ridge Center Dr Ste 300, Saint Louis, MO 63141-8573 | 2017-09-21 |
| 1013433762 | Elevating Care Clinic, LLC | Clinic/Center | 2340 E. Meyer Blvd, 208, Kansas City, MO 64132-1105 | 2017-08-15 |
| Find all providers with the same taxonomy | ||||
| City | JEFFERSON CITY |
| Zip Code | 65109 |
Please comment or provide details below to improve the information on CAPITAL REGION MEDICAL CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.